National Provider Identifier [NPI]: |
1134185788 |
Last Name Of The Provider |
QAZI |
First Name Of The Provider |
ASIF |
Middle Initial Of The Provider |
Q |
Credentials Of The Provider |
M.D |
Gender Of The Provider |
M |
Entity Type Of The Provider |
I |
Street Address 1 Of The Provider |
6465 E BROAD ST |
Street Address 2 Of The Provider |
SUITE D |
City Of The Provider |
COLUMBUS |
Zip Code Of The Provider |
432131576 |
State Code Of The Provider |
OH |
Country Code Of The Provider |
US |
Provider Type Of The Provider |
Internal Medicine |
Medicare Participation Indicator |
Y |
Number Of HCPCS |
132 |
Number Of Services |
3349.5 |
Number Of Medicare Beneficiaries |
186 |
Total Submitted Charge Amount |
161977.5 |
Total Medicare Allowed Amount |
99193.26 |
Total Medicare Payment Amount |
75218.06 |
Total Medicare Standardized Payment Amount |
78951.42 |
Drug Suppress Indicator |
|
Number Of HCPCS Associated With Drug Services |
15 |
Number Of Drug Services |
575.5 |
Number Of Medicare Beneficiaries With Drug Services |
92 |
Total Drug Submitted ChargeAmount |
5030.5 |
Total Drug Medicare AllowedAmount |
3157.18 |
Total Drug Medicare PaymentAmount |
2991.74 |
Total Drug Medicare Standardized Payment Amount |
2991.74 |
Medical SuppressIndicator |
|
Number Of HCPCS Associated With MedicalServices |
117 |
Number Of Medical Services |
2774 |
Number Of Medicare Beneficiaries With Medical Services |
186 |
Total Medical Submitted Charge Amount |
156947 |
Total Medical Medicare Allowed Amount |
96036.08 |
Total Medical Medicare Payment Amount |
72226.32 |
Total Medical Medicare Standardized Payment Amount |
75959.68 |
Average Age Of Beneficiaries |
68 |
Number Of Beneficiaries Age Less65 |
51 |
Number Of Beneficiaries Age 65 to 74 |
84 |
Number Of Beneficiaries Age 75 to 84 |
30 |
Number Of Beneficiaries Age Greater 84 |
21 |
Number Of Female Beneficiaries |
110 |
Number Of Male Beneficiaries |
76 |
Number Of Non Hispanic White Beneficiaries |
120 |
Number Of Black or African American Beneficiaries |
54 |
Number Of AsianPacific Islander Beneficiaries |
|
Number Of Hispanic Beneficiaries |
|
Number Of American Indian Alaska Native Beneficiaries |
0 |
Number Of Beneficiaries With Race Not Else where Classified |
|
Number Of Beneficiaries With Medicare Only Entitlement |
126 |
Number Of Beneficiaries With Medicare Medicaid Entitlement |
60 |
Percent Of With Atrial Fibrillation |
9 |
Percent Of With Alzheimers Disease or Dementia |
11 |
Percent Of With Asthma |
11 |
Percent Of With Cancer |
9 |
Percent Of With Heart Failure |
21 |
Percent Of With Chronic Kidney Disease |
24 |
Percent Of With Chronic Obstructive Pulmonary Disease |
20 |
Percent Of With Depression |
30 |
Percent Of With Diabetes |
40 |
Percent Of With Hyperlipidemia |
61 |
Percent Of With Hypertension |
71 |
Percent Of With Ischemic Heart Disease |
33 |
Percent Of With Osteoporosis |
|
Percent Of With Rheumatoid Arthritis Osteoarthritis |
41 |
Percent Of With Schizophrenia Other PsychoticDisorders |
|
Percent Of With Stroke |
|
Average HCC Risk Score Of Beneficiaries |
1.372 |